scholarly journals Addressing barriers to healthcare access for Roma: A community development approach

2016 ◽  
Vol 64 (2) ◽  
pp. 157-177 ◽  
Author(s):  
Gloria Kirwan ◽  
Deirdre Jacob
Keyword(s):  
Community Development ◽  
Service Providers ◽  
Healthcare Access ◽  
Access To Healthcare ◽  
Social Solidarity ◽  
New Destination ◽  
Education And Employment ◽  
Development Approach ◽  
Integration Project ◽  
Barriers To Healthcare Access

Abstract The Roma community in Europe has experienced persistent marginalisation and disadvantage over many generations, with Roma regularly experiencing problems of access to healthcare, accommodation, education and employment within the European context. Ireland is a relatively new destination for Roma migration and, as yet, the experiences of Roma in Ireland are under-researched. However, problematic access to healthcare has emerged as an issue faced by the Roma community in Ireland. With reference to the work of the Tallaght Roma Integration Project (TRIP), this article aims to illuminate some of the challenges faced by Roma in this regard. The work of TRIP is informed by community development principles, including concepts of participation and social solidarity. This article explores how community development can offer a framework through which the Roma community can engage collaboratively with service providers in order to highlight need and mobilise change in service provision.

scholarly journals Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services

2021 ◽  
Vol 18 (15) ◽  
pp. 7901
Author(s):  
Alejandro Gil-Salmerón ◽  
Konstantinos Katsas ◽  
Elena Riza ◽  
Pania Karnaki ◽  
Athena Linos
Keyword(s):  
Small Sample Size ◽  
Healthcare Access ◽  
Linguistically Diverse ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Small Sample ◽  
Multivariable Regression ◽  
Translation Services ◽  
Barriers To Healthcare Access ◽  
The Eu

Background: Discrimination based on ethnicity and the lack of translation services in healthcare have been identified as main barriers to healthcare access. However, the actual experiences of migrant patients in Europe are rarely present in the literature. Objectives: The aim of this study was to assess healthcare discrimination as perceived by migrants themselves and the availability of translation services in the healthcare systems of Europe. Methods: A total of 1407 migrants in 10 European Union countries (consortium members of the Mig-HealthCare project) were surveyed concerning healthcare discrimination, access to healthcare services, and need of translation services using an interviewer-administered questionnaire. Migrants in three countries were excluded from the analysis, due to small sample size, and the new sample consisted of N = 1294 migrants. Descriptive statistics and multivariable regression analyses were conducted to investigate the risk factors on perceived healthcare discrimination for migrants and refugees in the EU. Results: Mean age was 32 (±11) years and 816 (63.26%) participants were males. The majority came from Syria, Afghanistan, Iraq, Nigeria, and Iran. Older migrants reported better treatment experience. Migrants in Italy (0.191; 95% CI [0.029, 0.352]) and Austria (0.167; 95% CI [0.012, 0.323]) scored higher in the Discrimination Scale to Medical Settings (DMS) compared with Spain. Additionally, migrants with better mental health scored lower in the DMS scale (0.994; 95% CI [0.993, 0.996]), while those with no legal permission in Greece tended to perceive more healthcare discrimination compared with migrants with some kind of permission (1.384; 95% CI [1.189, 1.611]), as opposed to Austria (0.763; 95% CI [0.632, 0.922]). Female migrants had higher odds of needing healthcare assistance but not being able to access them compared with males (1.613; 95% CI [1.183, 2.199]). Finally, migrants with chronic problems had the highest odds of needing and not having access to healthcare services compared with migrants who had other health problems (3.292; 95% CI [1.585, 6.837]). Conclusions: Development of culturally sensitive and linguistically diverse healthcare services should be one of the main aims of relevant health policies and strategies at the European level in order to respond to the unmet needs of the migrant population.

scholarly journals Contexts and mechanisms that promote access to healthcare for populations experiencing homelessness: a realist review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043091
Author(s):  
Rikke Siersbaek ◽  
John Alexander Ford ◽  
Sara Burke ◽  
Clíona Ní Cheallaigh ◽  
Steve Thomas
Keyword(s):  
Health System ◽  
Healthcare Access ◽  
Grey Literature ◽  
Realist Review ◽  
Access To Healthcare ◽  
Staff Retention ◽  
Programme Theory ◽  
Eligibility Criteria ◽  
Ovid Medline ◽  
High Level

ObjectiveThe objective of this study was to identify and understand the health system contexts and mechanisms that allow for homeless populations to access appropriate healthcare when needed.DesignA realist review.Data sourcesOvid MEDLINE, embase.com, CINAHL, ASSIA and grey literature until April 2019.Eligibility criteria for selecting studiesThe purpose of the review was to identify health system patterns which enable access to healthcare for people who experience homelessness. Peer-reviewed articles were identified through a systematic search, grey literature search, citation tracking and expert recommendations. Studies meeting the inclusion criteria were assessed for rigour and relevance and coded to identify data relating to contexts, mechanisms and/or outcomes.AnalysisInductive and deductive coding was used to generate context–mechanism–outcome configurations, which were refined and then used to build several iterations of the overarching programme theory.ResultsSystematic searching identified 330 review articles, of which 24 were included. An additional 11 grey literature and primary sources were identified through citation tracking and expert recommendation. Additional purposive searching of grey literature yielded 50 records, of which 12 were included, for a total of 47 included sources. The analysis found that healthcare access for populations experiencing homelessness is improved when services are coordinated and delivered in a way that is organised around the person with a high degree of flexibility and a culture that rejects stigma, generating trusting relationships between patients and staff/practitioners. Health systems should provide long-term, dependable funding for services to ensure sustainability and staff retention.ConclusionsWith homelessness on the rise internationally, healthcare systems should focus on high-level factors such as funding stability, building inclusive cultures and setting goals which encourage and support staff to provide flexible, timely and connected services to improve access.

scholarly journals Social Solidarity Economy and Village-centric Development in North-West Cameroon

2021 ◽  
pp. 251660262110154
Author(s):  
Charles Fonchingong Che ◽  
Marcellus Mbah
Keyword(s):  
Community Development ◽  
Local Development ◽  
Social Economy ◽  
Sub Saharan Africa ◽  
Community Relations ◽  
Social Solidarity ◽  
Structured Interviews ◽  
Solidarity Economy ◽  
North West ◽  
Secondary Sources

Amidst shrinking budgets for community development in most of sub-Saharan Africa, the social solidarity economy is touted as a model in local development. This article situates solidarity initiatives and capability-focused outcomes that deliver enhanced livelihoods, social security and community development. The conceptual framing of social theory, social capital and social economy informs this case study with focus on the Ndong Awing Cultural and Development Association, North-West region, Cameroon. The analysis of semi-structured interviews and secondary sources suggests that solidarity networks such as njangis, cooperatives, quarter development unions and diaspora networks promote village-centric development. These overlapping networks generate scarce financial and human resources–essential packages for livelihoods and welfare. Emerging state policy is yet to calibrate these mechanisms of ground-up, mutual development drives. Galvanising these solidarity assets require meaningful co-productionand revamped state−community relations. This article offers a paradigm shift in how village groups mobilise income, capital and financing of village projects, nurtured through human development and agency.

scholarly journals Access to Healthcare for Immigrant Children in Canada

2020 ◽  
Vol 17 (9) ◽  
pp. 3320
Author(s):  
Bukola Salami ◽  
Alleson Mason ◽  
Jordana Salma ◽  
Sophie Yohani ◽  
Maryam Amin ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Service Providers ◽  
Social Determinant ◽  
Immigrant Children ◽  
Access To Healthcare ◽  
Cultural Barriers ◽  
Immigrant Parents ◽  
Financial Barriers ◽  
University Of Alberta ◽  
The University

Immigrants experience poorer health outcomes than nonimmigrants in Canada for several reasons. A central contributing factor to poor health outcomes for immigrants is access to healthcare. Previous research on access to healthcare for immigrants has largely focused on the experience of immigrant adults. The purpose of this study was to investigate how immigrants access health services for their children in Alberta, Canada. Our study involved a descriptive qualitative design. Upon receiving ethics approval from the University of Alberta Research Ethics Board, we invited immigrant parents to participate in this study. We interviewed 50 immigrant parents, including 17 fathers and 33 mothers. Interviews were audio recorded, transcribed, and analyzed according to the themes that emerged. Findings reveal that systemic barriers contributed to challenges in accessing healthcare for immigrant children. Participants identified several of these barriers—namely, system barriers, language and cultural barriers, relationship with health professionals, and financial barriers. These barriers can be addressed by policymakers and service providers by strengthening the diversity of the workforce, addressing income as a social determinant of health, and improving access to language interpretation services.

scholarly journals A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathan G. Rockey ◽  
Taylor M. Weiskittel ◽  
Katharine E. Linder ◽  
Jennifer L. Ridgeway ◽  
Mark L. Wieland
Keyword(s):  
Mixed Methods ◽  
Patient Care ◽  
Social Factors ◽  
Healthcare Access ◽  
Community Services ◽  
Student Understanding ◽  
Learning Objectives ◽  
Barriers To Healthcare ◽  
The Impact ◽  
Barriers To Healthcare Access

Abstract Background The purpose of this study was to evaluate the extent to which a longitudinal student-run clinic (SRC) is meeting its stated learning objectives, including providing critical community services and developing physicians who more fully appreciate the social factors affecting their patients’ health. Methods This was a mixed methods program evaluation of an SRC at Mayo Clinic Alix School of Medicine (MCASOM). A survey was conducted of medical students who had participated in the clinic and seven interviews and three focus groups were conducted with SRC patients, students, faculty, staff, and board members. Transcripts were coded for systematic themes and sub-themes. Major themes were reported. Survey and interview data were integrated by comparing findings and discussing areas of convergence or divergence in order to more fully understand program success and potential areas for improvement. Results Greater than 85% of student survey respondents (N = 90) agreed or strongly agreed that the SRC met each of its objectives: to provide a vital community service, to explore social determinants of health (SDH), to understand barriers to healthcare access and to practice patience-centered examination. Qualitative data revealed that the SRC contextualized authentic patient care experiences early in students’ medical school careers, but the depth of learning was variable between students. Furthermore, exposure to SDH through the program did not necessarily translate to student understanding of the impact of these social factors on patient’s health nor did it clearly influence students’ future practice goals. Conclusions The MCASOM SRC experience met core learning objectives, but opportunities to improve long-term impact on students were identified. Participation in the SRC enabled students to engage in patient care early in training that is representative of future practices. SRCs are an avenue by which students can gain exposure to real-world applications of SDH and barriers to healthcare access, but additional focus on faculty development and intentional reflection may be needed to translate this exposure to actionable student understanding of social factors that impact patient care.

Social initiatives and social solidarity under austerity

2017 ◽  
Author(s):  
Christina Fuhr
Keyword(s):  
Social Stratification ◽  
Service Providers ◽  
Public Image ◽  
Social Solidarity ◽  
The Great Depression ◽  
Societal Level ◽  
Micro Level ◽  
Social Initiatives ◽  
The 2008 Financial Crisis ◽  
The Uk

The 2008 financial crisis resulted in a protracted recession in Europe of a kind not seen since the Great Depression. Austerity policies in both countries have increased the presence of and need for social initiatives such as foodbanks and, with them, civic engagement. Foodbanks are often viewed as social solidarity organisations that usually distribute donated food among people in need. Considering that Germany and the UK have both seen a considerable expansion of foodbanks in recent years, this chapter, using the method of ethnography, examines to what extent and thereby how foodbanks in Germany and the UK can construct social solidarity under austerity. The chapter argues that while foodbanks can create a societal representation of solidarity, they can also reproduce social stratification and segregation on the ground. It shows that foodbanks can generate a public image of solidarity on the macro-level, meaning on the societal level, but may struggle to do so on the micro-level, in other words in the interactions between service providers and recipients.

Shared Action: Stronger communities, safer children

2002 ◽  
Vol 27 (2) ◽  
pp. 23-28
Author(s):  
Fiona Gardner
Keyword(s):  
Community Development ◽  
Sense Of Community ◽  
Child Protection ◽  
Shared Vision ◽  
Community Activities ◽  
Community Ownership ◽  
Wide Range ◽  
Community Responsibility ◽  
Development Approach ◽  
Exciting Project

This article explores the effectiveness of an innovative and exciting project called ‘Shared Action’, a community development approach to child protection in Bendigo, Victoria. Shared Action was a three-year project which started in January 1997. It began by encouraging a sense of community ownership. A shared vision was developed with key goals leading to a wide range of community activities. A sense of hope and cooperation grew along with social networks, the capacity to resolve conflict constructively and a shared sense of community responsibility.

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